Om, Kinga. Preconception health behaviors and its associated factors among pregnant women attending antenatal care clinic at a referral hospital in Bhutan. Master's Degree(Nursing Science). Burapha University. Library. : Burapha University, 2017.
Preconception health behaviors and its associated factors among pregnant women attending antenatal care clinic at a referral hospital in Bhutan
Abstract:
The concept of actively preparing for pregnancy prior to conception continues to be a challenge for women all over the world and many women were found to enter pregnancy exposed to various health risk behaviors. Therefore, this descriptive study aimed to examine the preconception health behavior [PCHB] which included changing to healthy diet, folic acid consumption, and avoiding/ cessation of alcohol and betel nut use. It was also aimed to examine the association between education level, presence of a health risk, pregnancy intention, and preconception care knowledge with the practice of PCHB. A convenience sample of 90 pregnant women visiting the antenatal care clinic for the first booking visit at Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan were recruited. Data were collected through a face-to-face interview using structured questionnaire and were analyzed using Pearsons and point biserial correlation, Pearsons chi-square, and fishers exact test. Results showed that 82.2 % of the women adopted at least one of four PCHB. But when each behavior was examined individually, it showed low engagement in the PCHB. Preconception folic acid consumption was the lowest behavior adopted (4.4 %) followed by changing to healthy diet (23.3 %). Many were still found consuming alcohol (20 %) and betel nut (68.1 %) even during pregnancy. Overall PCHB showed significant positive correlation with preconception care knowledge (r = .22, p = .04) and pregnancy intention (r = .46, p = < .001. When each behavior was examined individually, pregnancy intention was the one factor associated with most of the behaviors. Findings suggest that interventions should aim at encouraging women to adopt all aspects of PCHB and improving womens knowledge and encouraging planned pregnancy through a program in order to promote their awareness resulting in their overall PCHB improvement.